Aspergillus cyst of aortic valve bioprosthesis

详细信息    查看全文

• 作者：Ashraf M. Anwar (1)
  Youssef F. M. Nosir (1)
  Mirvat Al-Asnaj (1)
  Walid Abukhudair (1)
  Abdullah Ashmeg (1)
  Hassan Chamsi-Pasha (1)
  
• 关键词：Aspergillosis ; Aortic valve ; Endocarditis ; Vegetation ; Abscess ; Echocardiography
• 刊名：Journal of Echocardiography
• 出版年：2011
• 出版时间：September 2011
• 年：2011
• 卷：9
• 期：3
• 页码：117-118
• 全文大小：294KB
• 参考文献：1. El-Hamamsy I, Dürrleman N, Stevens LM, Cartier R, Pellerin M, Perrault LP, et al. A cluster of cases of Aspergillus endocarditis after cardiac surgery. Ann Thorac Surg. 2004;77(6):2184-. CrossRef
  2. Pierotti LC, Baddour LM. Fungal endocarditis, 1995-000. Chest. 2002;122(1):302-0. CrossRef
  3. Esmaeilzadeh M, Parsaee M, Peighambari MM, Sadeghpour A, Khamooshi AJ, Hosseini SS, et al. Late occurrence of fatal aortitis: a complication of Aspergillus endocarditis following coronary artery bypass graft surgery. Eur J Echocardiogr. 2009;10(1):165-. CrossRef
  
• 作者单位：Ashraf M. Anwar (1)
  Youssef F. M. Nosir (1)
  Mirvat Al-Asnaj (1)
  Walid Abukhudair (1)
  Abdullah Ashmeg (1)
  Hassan Chamsi-Pasha (1)
  
  1. Department of Cardiology, King Fahd Armed Forces Hospital, P.O. Box 9862, Jeddah, 21159, Kingdom of Saudi Arabia
  

文摘

Aspergillus endocarditis (AE) is an ominous complication of cardiac surgery with a dismal prognosis. We present a 35-year-old female who developed AE 4?months after her aortic and mitral valve replacement. Transesophageal echocardiography revealed an aortic root abscess and a cystic mass attached to the aortic bioprosthesis. Intraoperatively, the cyst was filled with fungal material. The aortic bioprosthesis was replaced and the patient was treated with amphotericin B. Six weeks later her condition suddenly deteriorated and she died on the same day. Early performance of transesophageal echocardiography and extended blood culture is mandatory in suspected cases of AE.